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Often the Shen is unsettled by constraint of emotion or by excess emotions. Chinese medicine believes that strong emotions can also effect our organs. Excessive or lack of joy can stress the heart worry eats at the gut grief endangers the lungs fear taxes the kidneys and anger assaults the liver. Shen is disturbed by tension in the chest. Thinking about loss not being able to express oneself and feeling guilty or under stress cause the chest qi to tighten. In this protective state we feel fewer feelings and show less emotion. Modern clinicians call this condition ‘depression’.